Impact of Abdominal Incision Type on Postoperative Pain and Quality of Life Following Hepatectomy

2021 ◽  
Author(s):  
Genki Watanabe ◽  
Takeaki Ishizawa ◽  
Satoshi Yamamoto ◽  
Takashi Kokudo ◽  
Yujiro Nishioka ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Postoperative Pain ◽  
Abdominal Incision

scholarly journals Impact on Quality of Life of Patients Treated by Different File Systems for Root Canal Treatment

2021 ◽  
Author(s):  
L.S. Priyanka ◽  
Lakshmi Nidhi Rao ◽  
Aditya Shetty ◽  
Mithra N. Hegde ◽  
Chitharanjan Shetty
Keyword(s):  
Quality Of Life ◽  
Oral Health ◽  
Postoperative Pain ◽  
Root Canal ◽  
File Systems ◽  
Study Groups ◽  
Significant Difference ◽  
Related Quality ◽  
The Impact

Abstract Introduction The outcomes of oral health conditions and therapy for those conditions are described by the term “oral health-related quality of life.” Oral health-related quality of life is recognized by the World Health Organization as an important part of the Global Oral Health Program. The study aims to compare the impact of three root canal preparation systems on patients’ quality of life and correlate postoperative pain with the impact on the quality of life. Materials and Methods A survey was performed in which 90 patients were randomly assigned to three groups based on the root canal preparation system: (1) ProTaper Gold (Dentsply, Tulsa Dental Specialties, Tulsa, Oklahoma, United States), (2) Neoendo flex (Neoendo, India),and (3) Hyflex EDM/CM (Coltene Whaledent) that included 30 participants in each group. Data collection included the implementation of a demographic data questionnaire, Oral Health Impact Profile 14 (quality of life), and visual analogue scale(pain). The questionnaire was given after root canal treatment in the first 24 hours. The data obtained were statistically analyzed. Results No significant differences were found in the quality of life among study groups. Group 1 demonstrated a highly significant difference in the postoperative pain with p value of 2.67. Conclusion Within the limitations of the present study, Protaper Gold showed a highly significant difference in postoperative pain when compared with other file systems. No significant differences were found in the quality of life among the study groups.

scholarly journals Counseling, quality of life, and acute postoperative pain in elderly patients with hip fracture

2013 ◽  
pp. 335 ◽  
Author(s):  
Gilda Cinnella ◽  
Gambatesa ◽  
D'Antini ◽  
Mirabella ◽  
De Capraris ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Hip Fracture ◽  
Postoperative Pain ◽  
Elderly Patients ◽  
Acute Postoperative Pain

scholarly journals O41 PREDICTORS OF LOW QUALITY AFTER OPEN INGUINAL HERNIA REPAIR USING THE EURAHS-QOL SCORE: PROSPECTIVE MULTICENTRIC COHORT STUDY

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Joana Simoes ◽  
Keyword(s):  
Quality Of Life ◽  
Cohort Study ◽  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Mesh Fixation ◽  
Absorbable Mesh ◽  
Open Inguinal Hernia Repair

Abstract Aim Evidence about factors influencing quality of life after inguinal hernia surgery is scarce. This study aimed to identify predictors of low Quality of Life (QoL) after open inguinal hernia repair, to guide practice and inform patients at high risk. Material and Methods Prospective multicentric cohort study including consecutive patients undergoing elective open inguinal hernia repair in Portuguese hospitals (October-December 2019). The primary outcome was Quality of Life at 3 months after surgery, using the EuraHS-QoL score (higher score correlates with lower QoL). Low QoL was defined as the higher EuraHS-QoL score tertile and multivariate logistic regression was used to identify predictors. Results 893 patients were included from 33 hospitals. The majority were men (89.9% [800/891]), had unilateral hernias 88.7% (774/872) and the most common surgical technique was Lichtenstein’s repair (52.9% [472/893]). The median QoL score was 24 (IQR 10-40) before surgery and 2 (IQR 0-10) at 3 months after surgery, showing significant improvement (p < 0.001). After adjustment, low QoL at 3 months was associated with low preoperative QoL (OR 1.76, 95% CI 1.21-2.57, p = 0.003), non-absorbable mesh fixation (OR 1.64, 95% CI 1.12-2.41, p = 0.011), severe immediate postoperative pain (OR 2.90, 95% CI 1.66-5.11, p < 0.001) and minor postoperative complications (OR 2.23, 95% CI 1.30-3.84, p = 0.004). Conclusions This study supports the use of the EuraHS-QoL score preoperatively to inform consent. Although significant improvement in QoL is expected after surgery, high scores before surgery are associated with low postoperative QoL. Caution should be taken with non-absorbable mesh fixation and immediate postoperative pain control should be optimised.

scholarly journals A comparative study between Ketorolac versus Metamizole in the Treatment of acute postoperative pain in children undergo adenotonsillectomy

2020 ◽  
Vol 11 (2) ◽  
pp. 2355-2359
Author(s):  
Yasir Fadhil Muhammad Ali Alkhazraji ◽  
Hassan Haseeb Abed ◽  
MassraIhssan Abdullah
Keyword(s):  
Quality Of Life ◽  
Clinical Trial ◽  
Postoperative Pain ◽  
Pain Relief ◽  
Moderate Pain ◽  
Acute Postoperative Pain ◽  
Medical Specialties ◽  
Analgesic Regimen ◽  
The World

Pain is the first general cause of consultation in most medical specialties, being also the most frequent cause of suffering and disability that seriously affects the quality of life of millions of people in the world. The aim is toevaluate the effectiveness of the use of ketorolac and metamizole in the treatment of postoperative acute adenotonsillectomypain in children.An interventional clinical trial study included 80children who were optionally subjected to adenotonsillectomy, within the age in the ranged from 5 to 12 years of age. Patients divided in two groups according to the analgesic regimen they received in the operating room, 40 children received Metamizole and 40 children received Ketorolac. In the Ketorolac group, 67.5% did not experience post-anesthetic recovery on the Ocher scale, and 32.5% had mild to moderate pain (1 to 6). In the Metamizole group, 27.5% of children reported no pain, and 72.5% rated their pain as mild to moderate. The degree of pain relief measured on the Oucher scale was higher in patients receiving Ketorolac (p <0.001). We concluded thatKetorolacis reducing postoperative pain significantly than metamizole in children undergoing to Adeno-tonsillectomy.

scholarly journals Criteria of efficiency of inguinal herniotomy in children under various techniques

2020 ◽  
Vol 24 (4) ◽  
pp. 239-243
Author(s):  
Alexandr V. Stolyar ◽  
M. A. Aksel'rov ◽  
V. A. Mal'chevskiy
Keyword(s):  
Quality Of Life ◽  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Pain Syndrome ◽  
Laparoscopic Herniorrhaphy ◽  
Physical Status ◽  
Laparoscopic Intervention ◽  
Inguinal Herniotomy

Purpose. To improve outcomes of congenital inguinal hernia treatment in children by improving a technique of extracorporal herniorrhaphy and by ligature guide modification. Outcomes after surgeries performed with different techniques were assessed by the level of postoperative pain and by the quality of life. Material and methods. Outcomes were analyzed in 60 children operated on for inguinal hernia with 3 different approaches: Duhamel, LASSO, LOD . The intensity of postoperative pain syndrome was assessed 4 hours after surgery and on the next postoperative day. The quality of life was assessed in 24 patients out of 60 on the next postoperative day. Results. The analysis on distribution to normality for postoperative pain did not reveal any statistical differences on sex, age and diagnosis. Boys (average age 69.6 - 84 months) prevailed. In 4 hours after the surgery, patients who had laparoscopic intervention had less number of scores in comparison to those who had open herniorrhaphy. There were no difference in laparoscopic groups. On the next postoperative day, pain syndrome in all groups was about the same. The quality of life in patients differed only by their physical status and by the total number of scores; and these parameters were higher in LOD group (32.8 scores versus 89.4 scores). Conclusion. A modified LOD technique improves the quality of life in operated patients. Four hours after laparoscopic herniorrhaphy, a pain syndrome is less pronounced.

Preoperative Pain is the Strongest Predictor of Postoperative Pain and Diminished Quality of Life after Ventral Hernia Repair

2013 ◽  
Vol 79 (8) ◽  
pp. 829-836 ◽  
Author(s):  
Victor B. Tsirline ◽  
Paul D. Colavita ◽  
Igor Belyansky ◽  
Allay Zemlyak ◽  
Amy E. Lincourt ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Postoperative Pain ◽  
Hernia Repair ◽  
Ventral Hernia ◽  
Severe Pain ◽  
The United States ◽  
Preoperative Pain ◽  
Patient Reported

With evolution of hernia repair surgery, quality of life (QOL) became a major outcome measure in nearly 350,000 ventral hernia repairs (VHRs) performed annually in the United States. This study identified predictors of chronic pain after VHR. A prospective database of patient-reported QOL outcomes at a tertiary referral center was queried from 2007 to 2010; 512 patients met inclusion criteria. Factors including demographics, medical comorbidities, preoperative symptoms, and hernia characteristics were analyzed using advanced statistical modeling. Average age was 56.4 years, 57.6 per cent were males, mean body mass index was 33 kg/m2, hernia defect size was 138 cm2, and 35.5 per cent were repaired laparoscopically. Preoperatively, 69 per cent of patients had mild and 28 per cent severe pain during some activities. Pain levels were elevated in the first month postoperatively; by 6 months, patients reported significant improvement. The most significant and consistent predictor of postoperative pain was the presence of preoperative pain (odds ratio, 2.1; 95% confidence interval, 1.4 to 3.0; P = 0.0001). Older patients and men had less postoperative pain, but they also had less preoperative pain, so these factors were not independent predictors. Patients with minimal preoperative symptoms uniformly experienced resolution of pain by 6 months postoperatively. Among patients with severe preoperative pain, one-third reported long-term resolution of pain, and one-third had persistent severe pain. The former group had smaller hernias (91 vs 194 cm2, respectively, P = 0.015). Cases of new-onset, long-term pain after VHR were rare (less than 2%). Most patients’ symptoms resolve by 6 months after surgery, but those with severe preoperative pain are at risk for persistent postoperative pain.

scholarly journals Patient Satisfaction and Quality of Life with Enhanced Recovery Protocols

2019 ◽  
Vol 32 (02) ◽  
pp. 138-144 ◽  
Author(s):  
Debbie Li ◽  
Christine Jensen
Keyword(s):  
Quality Of Life ◽  
Patient Satisfaction ◽  
Postoperative Pain ◽  
Colorectal Surgery ◽  
Enhanced Recovery ◽  
Future Research ◽  
Widespread Implementation ◽  
Recovery Protocols ◽  
Eras Protocol

AbstractWhile studies have demonstrated the benefits of Enhanced Recovery after Surgery (ERAS) programs in reducing length of stay and costs without increasing complications, fewer studies have evaluated patient satisfaction and quality of life (QOL) with enhanced recovery protocols. The aim of this project was to summarize the literature comparing satisfaction and quality of life after colorectal surgery following treatment within an ERAS protocol to standard postoperative care. The available evidence suggests patients suffer no detriment to satisfaction or quality of life with use of ERAS protocols, and may suffer less fatigue and return to activities sooner. Most publications reported no adverse effects on postoperative pain. However, a limited number of studies suggest patients may experience increased early postoperative pain with ERAS pathways, particularly following open colorectal procedures. Future research should focus on potential improvements in ERAS protocols to better manage postoperative pain. Overall, the evidence supports more widespread implementation of ERAS pathways in colorectal surgery.

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